Okwamanje akukabikho ukwelashwa okuqondile okumele kwelashwe Isifo sikaRaynaud (ifomu eliyisisekelo). Nokho, kungenzeka nciphisa imvamisa yokuquleka ngokushintsha imikhuba ethile, njenge ayeke ukubhema ou zivikele emakhazeni.

Ngaphezu kwalokho, izimpawu akufanele neze zishaywe indiva ngoba zingafihla enye inkinga noma zibe uphawu lokuqala lwesifo esiyisisekelo njenge-rheumatoid arthritis noma i-scleroderma. Kungenzeka-ke ukuthi siphambi kwe Isifo sikaRaynaud (ifomu lesibili). Kulesi simo, ukwelashwa kuzohlose ukwelapha isifo esiyisisekelo, esidinga ukubonisana nodokotela.

Yini okufanele uyenze uma kunesimo esibucayi?

Thola ukufudumala into yokuqala okufanele yenziwe, ukuze kuthuliswe i-spasm yemithambo yegazi.

• Kuya kulungele izandla noma izinyawo, njengoba kungaba njalo:

  uwabeke ngaphansi amakhwapha,

  bacwilise phakathiamanzi asivivi (angashisi) noma uwathele ngamanzi afudumele.

• Kuya buyisela ukujikeleza :

  Ukuthutha iminwe noma izinzwane,

  massage izingxenye ezithintekile,

  hambisa izingalo zakho ngenkathi wenza imibuthano emikhulu.

Lapho ukucindezeleka kungumsuka wenhlekelele, ukuya ku-a indawo ethule futhi, ngenkathi ufudumeza izindawo ezithintekile, sebenzisa inqubo yokulwa nokucindezeleka. Noma, phuma esimweni esicindezelayo, ngosizo lomuntu wesithathu uma kunesidingo, ukuze uphumule.

izidakamizwa

Abantu abane isifo U-de Raynaud akavamile ukudinga imithi. Nokho, lezi kudingekile uma kwenzeka I-Raynaud's syndrome enzima.

Ama-Vasodilators. Le mithi ikhuthaza ukuchelela emaphethelweni ngokwandisa ukuvuleka kwemithambo yegazi.

• Ama-block block wesiteshi seCalcium. Le mithi (i-pinaverium, i-nifedipine, i-buflomedil, i-nimodipine, njll.) inomphumela we- phumuza imisipha futhi vula imithambo yegazi emincane. Ngokuvamile zimiselwe ukwelapha izimo ezithile zenhliziyo nomfutho wegazi ophakeme. Izivimbeli zesiteshi se-calcium zinikeza impumuzo izingxenye ezimbili kwezintathu zeziguli ezinesifo sika-Raynaud (esiyinhloko noma sesibili). Baphinde basize ekwelapheni izilonda zesikhumba eminweni nasezinzwaneni.
• I-Alpha blockers. Le mithi (i-prazosin, i-doxasosin, njll.) inikeza ukukhululeka kwezinye iziguli ngokuphikisana nesenzo se-norepinephrine, i-hormone ehilelekile ekunciphiseni imithambo yegazi. Zibuye zisetshenziselwe ukwelapha umfutho wegazi ophezulu. Umphumela wabo ku-Raynaud's syndrome unesizotha; isivimbeli se-alpha esicacile okwamanje siyacwaningwa.
• La i-nitroglycerine ngesimo se- ukhilimu futhi ngezinye izikhathi isetshenziselwa le njongo.
• Le sildenafil (I-Viagra®). Le phosphodiesterase type 5 (IPDE-5) inhibitor, ikakhulukazi esetshenziselwa ukwelapha ukungasebenzi kahle kwe-erectile, ingase yehlise imvamisa yokuquleka. Igcinelwe iziguli okunye ukwelashwa kwe-vasodilator okungasebenzi kuzo.

Ukwelashwa kwe-Adjuvant. Uma isiguli singaphenduli ekwelashweni, udokotela angase anikeze ezinye izidakamizwa ezandisa umphumela we-vasodilators.

• I-Fluoxetine (i-antidepressant)
• Le cilostazol
• I-Pentoxifillin

Amanothi. Ukwelashwa okuhlukahlukene okunconyiwe akusebenzi ngaso sonke isikhathi, ikakhulukazi ukwelapha Isifo sikaRaynaud. Abanye abantu bazwela kakhulu emiphumeleni emibi futhi abakubekezeleli kahle ukwelashwa.

Ezimweni ezimbi kakhulu

Lapho ukujikeleza kwegazi kuyinto kuvinjelwe nokuthi kukhona ingozi isigebengu, lo esibhedlela kungase kudingeke. Lokhu kuvumela ukuqapha komtholampilo okuseduze futhi, uma kunesidingo, ukuphathwa kwemithi enamandla kakhulu ye-vasodilator ngomthambo. Esigangeni esithuthukile, a ukukhishwa kungase kudingeke.